Cargando…
Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis
Patients with stroke secondary to infectious endocarditis have a high in-hospital morbidity and mortality, with only one-third becoming functionally independent. Infective endocarditis is usually considered a relative contraindication to thrombolytic therapy. We describe 3 consecutive cases of acute...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121560/ https://www.ncbi.nlm.nih.gov/pubmed/27920715 http://dx.doi.org/10.1159/000452213 |
_version_ | 1782469431815831552 |
---|---|
author | Sveinsson, Olafur Herrman, Lars Holmin, Staffan |
author_facet | Sveinsson, Olafur Herrman, Lars Holmin, Staffan |
author_sort | Sveinsson, Olafur |
collection | PubMed |
description | Patients with stroke secondary to infectious endocarditis have a high in-hospital morbidity and mortality, with only one-third becoming functionally independent. Infective endocarditis is usually considered a relative contraindication to thrombolytic therapy. We describe 3 consecutive cases of acute middle cerebral artery occlusion due to infective endocarditis, who were all successfully treated with intra-arterial mechanical thrombectomy using the Solitaire device. From this limited experience, mechanical thrombectomy could be used as an effective acute treatment for ischemic stroke in patients with infective endocarditis. Mechanical thrombectomy is most likely a more effective and safer treatment than intravenous thrombolysis in this patient group. |
format | Online Article Text |
id | pubmed-5121560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-51215602016-12-05 Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis Sveinsson, Olafur Herrman, Lars Holmin, Staffan Case Rep Neurol Case Report Patients with stroke secondary to infectious endocarditis have a high in-hospital morbidity and mortality, with only one-third becoming functionally independent. Infective endocarditis is usually considered a relative contraindication to thrombolytic therapy. We describe 3 consecutive cases of acute middle cerebral artery occlusion due to infective endocarditis, who were all successfully treated with intra-arterial mechanical thrombectomy using the Solitaire device. From this limited experience, mechanical thrombectomy could be used as an effective acute treatment for ischemic stroke in patients with infective endocarditis. Mechanical thrombectomy is most likely a more effective and safer treatment than intravenous thrombolysis in this patient group. S. Karger AG 2016-10-31 /pmc/articles/PMC5121560/ /pubmed/27920715 http://dx.doi.org/10.1159/000452213 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Case Report Sveinsson, Olafur Herrman, Lars Holmin, Staffan Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title | Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title_full | Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title_fullStr | Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title_full_unstemmed | Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title_short | Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis |
title_sort | intra-arterial mechanical thrombectomy: an effective treatment for ischemic stroke caused by endocarditis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121560/ https://www.ncbi.nlm.nih.gov/pubmed/27920715 http://dx.doi.org/10.1159/000452213 |
work_keys_str_mv | AT sveinssonolafur intraarterialmechanicalthrombectomyaneffectivetreatmentforischemicstrokecausedbyendocarditis AT herrmanlars intraarterialmechanicalthrombectomyaneffectivetreatmentforischemicstrokecausedbyendocarditis AT holminstaffan intraarterialmechanicalthrombectomyaneffectivetreatmentforischemicstrokecausedbyendocarditis |